limabean

limabean

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All Content by limabean

  1. What to do if a pt. aspirates???

    limabean posted a topic in Patient Safety Issues

    I had a patient who had been put on tube feeding per Dobhoff the day before. That day the pt. had vomited and the doctor stopped the tube feeding until he could reassess the pt in the morning. I took...

  2. coumadin toxicity

    limabean posted a topic in General Nursing

    What is the general rule for testing PT/INR levels on someone newly prescribed coumadin? My aunt went to her pcp recently and he did an ekg that showed afib with rvr. He started her on coumadin and...

  3. Pccn

    limabean replied to rngrl's topic in General Nursing

    Hey rngrl...I took the PCCN not too long ago so I can give a little advice. I studied my nursing med surg book. I know it sounds awful. But I just went through the list of items from the PCCN review...

  4. i decided not to have my son circumcised-need feedback

    limabean replied to nursemn's topic in General Nursing

    I was wondering what type of pain prevention is an infant given during circumcision? Somewhere in the back of my mind I remember hearing that it is up to the physician performing the circ if the...

  5. i'm really angry.. should i be??

    limabean replied to goats'r'us's topic in General Nursing

    Absolutely write him up! We have a transporter very similar to this at my hospital. He refuses to sign anyone out (which may not sound like a big deal, but when you go into your pt's room and he is...

  6. PEG tube leaking

    limabean posted a topic in General Nursing

    I had a pt today with a peg tube that had some leakage around the site. A KUB had been done yesterday and it showed the tube to be in good position. Well when I changed the dressing there was what...

  7. PEG tube leaking

    limabean replied to limabean's topic in General Nursing

    Sorry it took so long to post a reply...I was at work all day. It is definitely not a foley type. It has a small flat piece that lays against the skin to help keep it secure....I didnt see any sutures...

  8. 7000 fatal med errors last year-where are theses nurses?

    limabean replied to supportneeded's topic in General Nursing

    I dont even know what words to say after reading your post. I am devastated for you. I think you are so courageous for coming on this site and posting your experience. You never know what other nurse...

  9. CPR certification

    limabean replied to lc3's topic in General Nursing

    BLS is "basic life support." If you need to take the BLS for healthcare providers, this covers adult and pediatric CPR, foreign body airway obstruction, and use of an AED (automated external...

  10. My really cool, doctor going above and beyond story

    limabean replied to HappyNurse2005's topic in General Nursing

    Those kind of stories are great to hear! Just when you start to wonder sometimes if many docs have a heart... We have a doc that has been known to go to a patients house and bring them in to the...

  11. What do you do if your pt's ride home is doped up?

    limabean posted a topic in General Nursing

    I had a patient who had chronic pain and was on pain meds all day long prior to discharge and while in the hospital. Well he was discharged and his significant other was going to drive him home (1hr...

  12. pccn

    limabean replied to telefloornurse's topic in General Nursing

    thanks

  13. pccn

    limabean replied to telefloornurse's topic in General Nursing

    Celia....I have not heard of NTI - what is it? Tele... It was pretty tough wasnt it? Just studying for it really increased my knowledge base. I hope you did

  14. Blood Glucose of 1700!!!

    limabean replied to Brian's topic in General Nursing

    I can not believe they had the nerve to call her right after you had called them on their mistake! Like that would somehow cover their butts! I would raise a major stink about that and insist on...

  15. comments about patient's w/ IV's?

    limabean replied to johnson0424's topic in Medical-Surgical

    It is a standing order at my hospital for a patient to get at least an INT. We dont start one only if the doctor says not to....as in your situation. The reason is b/c you need to have an access in...

  16. pccn

    limabean replied to telefloornurse's topic in General Nursing

    Hey guys....someone I knew had the David Woodruff audio CD's. They were a big help!! I only had the pulmonary one's and I made a 92% on that part. I listened to them in my car when I was going...

  17. pccn

    limabean replied to telefloornurse's topic in General Nursing

    Hey telefloornurse....I was just wondering if you have taken your exam yet and how you thought it went. I just recently took my exam and I thought it was pretty darn tough but I passed. Good luck if...

  18. varicose veins in nurses

    limabean replied to janel.rn's topic in General Nursing

    I am wondering if the pain I am having in my leg is a varicose vein? I really dont know what it is b/c I have never had a varicose vein before. I can just barely see a vein under the skin...it is not...

  19. peritoneal dialysis....what do you think?

    limabean replied to limabean's topic in Dialysis, Renal, Urology

    I'm not really sure yet about the details. I dont know if we will be using the automatic cyclers. I will know more after I go to the inservice in a couple weeks. I believe the inservice is being...

  20. peritoneal dialysis....what do you think?

    limabean posted a topic in Dialysis, Renal, Urology

    We are about to start doing peritoneal dialysis on my telemetry floor. We are considered the cardiac/resp/renal floor so we get a little bit of everything, including stable vents, trachs, all dialysis...

  21. peritoneal dialysis....what do you think?

    limabean replied to limabean's topic in Dialysis, Renal, Urology

    Thanks for replying NephroBSN....no, we do not perform hemodialysis. We are the only floor that takes the ESRD patients (we send them to dialysis and manage their other multiple problems on the...

  22. Near miss, should I be blamed?

    limabean replied to Tony35NYC's topic in General Nursing

    Oh my gosh....I thought I had it bad sometimes!!! I have never heard of anything like this happening on a stepdown unit! I dont know what else you could have done, except maybe have another nurse...

  23. Help...what is going on with this patient?

    limabean posted a topic in Patient Safety Issues

    Can anyone help me figure out what is going on with this patient? Female pt came in with COPD exacerbation, Chest pain. Troponin on admission was neg but did go up to 0.45 on 2nd draw. Cardiology was...

  24. Is a Surgeon accountable for slander??

    limabean replied to lorster's topic in Activism, Healthcare

    That is a rough situation to be in. But you know if it were the other way around and you had slandered the doctor (like telling a patient they should not go to that particular doctor) then you would...

  25. pccn

    limabean replied to telefloornurse's topic in General Nursing

    tele....why are you taking the paper and pencil test if you dont mind me asking? Is there an advantage? I also bought the CCRN book called "Pass CCRN." It is helpful but I have found that it has so...